| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.15 | $33.28 | $33.28 | |
Cigna
| Facility | $30.64 | $30.64 | $33.79 | |
Cigna
| Professional | $26.04 | $30.64 | $67.50 | |
Medcost
| Facility | $15.10 | $33.28 | $39.94 | |
Medcost
| Professional | $39.84 | $39.84 | $39.84 | |
United
| Professional | $15.24 | $24.90 | $39.31 | |
Wellcare
| Facility | $85.00 | $219.96 | $219.96 |